TIBIO-FIBULAR BONE TRANSPOSITION FOR THE TREATMENT OF ONCOLOGICAL PERIPROSTHETIC INFECTION OF THE KNEE WITH MASSIVE BONE LOSS

Chronic periprosthetic joint infection (PJI) is one of the most relevant complications in orthopaedic surgery, especially in the case of limb reconstruction with megaprostheses after malignant tumoral resection. This is the report of a case of a 35-year-old patient, affected by a chronic PJI around...

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Autor principal:	Raffaele Pezzella
Formato:	article
Lenguaje:	EN
Publicado:	Associazione Italiana Giovani Medici 2021
Materias:	transfemoral amputation megaprosthesis infection stump lengthening bone sarcoma Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/02f3b7233a524bb5aae411410a3113a2
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spelling	oai:doaj.org-article:02f3b7233a524bb5aae411410a3113a22021-11-11T18:27:56ZTIBIO-FIBULAR BONE TRANSPOSITION FOR THE TREATMENT OF ONCOLOGICAL PERIPROSTHETIC INFECTION OF THE KNEE WITH MASSIVE BONE LOSS10.3269/1970-5492.2021.16.302279-7165https://doaj.org/article/02f3b7233a524bb5aae411410a3113a22021-11-01T00:00:00Zhttp://www.embj.org/wp-content/uploads/2021/11/Pezzella_30.pdfhttps://doaj.org/toc/2279-7165Chronic periprosthetic joint infection (PJI) is one of the most relevant complications in orthopaedic surgery, especially in the case of limb reconstruction with megaprostheses after malignant tumoral resection. This is the report of a case of a 35-year-old patient, affected by a chronic PJI around a knee megaprosthesis implanted after the resection of an osteosarcoma of the distal femur. “En bloc” resection and limb reconstruction with an expandable megaprothesis of the knee were performed at the age of 5 years old (1989). PJI occurred after the definitive megaprosthesis implantation (2002), and became chronic over the years. In 2019, due to a massive recrudescence of the infection and the severe femoral bone loss, the patient underwent a wide intercalary resection and a thigh stump reconstruction by transposition of the fibula and the distal third of the tibia in order to avoid a hip disarticulation. Although complex, the proposed treatment allowed improved outcomes in a young patient with high function requests, justifying the global surgical invasiveness. Raffaele PezzellaAssociazione Italiana Giovani Mediciarticletransfemoral amputationmegaprosthesis infectionstump lengtheningbone sarcomaMedicine (General)R5-920ENEuromediterranean Biomedical Journal, Vol 16, Iss 30, Pp 131-136 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	transfemoral amputation megaprosthesis infection stump lengthening bone sarcoma Medicine (General) R5-920
spellingShingle	transfemoral amputation megaprosthesis infection stump lengthening bone sarcoma Medicine (General) R5-920 Raffaele Pezzella TIBIO-FIBULAR BONE TRANSPOSITION FOR THE TREATMENT OF ONCOLOGICAL PERIPROSTHETIC INFECTION OF THE KNEE WITH MASSIVE BONE LOSS
description	Chronic periprosthetic joint infection (PJI) is one of the most relevant complications in orthopaedic surgery, especially in the case of limb reconstruction with megaprostheses after malignant tumoral resection. This is the report of a case of a 35-year-old patient, affected by a chronic PJI around a knee megaprosthesis implanted after the resection of an osteosarcoma of the distal femur. “En bloc” resection and limb reconstruction with an expandable megaprothesis of the knee were performed at the age of 5 years old (1989). PJI occurred after the definitive megaprosthesis implantation (2002), and became chronic over the years. In 2019, due to a massive recrudescence of the infection and the severe femoral bone loss, the patient underwent a wide intercalary resection and a thigh stump reconstruction by transposition of the fibula and the distal third of the tibia in order to avoid a hip disarticulation. Although complex, the proposed treatment allowed improved outcomes in a young patient with high function requests, justifying the global surgical invasiveness.
format	article
author	Raffaele Pezzella
author_facet	Raffaele Pezzella
author_sort	Raffaele Pezzella
title	TIBIO-FIBULAR BONE TRANSPOSITION FOR THE TREATMENT OF ONCOLOGICAL PERIPROSTHETIC INFECTION OF THE KNEE WITH MASSIVE BONE LOSS
title_short	TIBIO-FIBULAR BONE TRANSPOSITION FOR THE TREATMENT OF ONCOLOGICAL PERIPROSTHETIC INFECTION OF THE KNEE WITH MASSIVE BONE LOSS
title_full	TIBIO-FIBULAR BONE TRANSPOSITION FOR THE TREATMENT OF ONCOLOGICAL PERIPROSTHETIC INFECTION OF THE KNEE WITH MASSIVE BONE LOSS
title_fullStr	TIBIO-FIBULAR BONE TRANSPOSITION FOR THE TREATMENT OF ONCOLOGICAL PERIPROSTHETIC INFECTION OF THE KNEE WITH MASSIVE BONE LOSS
title_full_unstemmed	TIBIO-FIBULAR BONE TRANSPOSITION FOR THE TREATMENT OF ONCOLOGICAL PERIPROSTHETIC INFECTION OF THE KNEE WITH MASSIVE BONE LOSS
title_sort	tibio-fibular bone transposition for the treatment of oncological periprosthetic infection of the knee with massive bone loss
publisher	Associazione Italiana Giovani Medici
publishDate	2021
url	https://doaj.org/article/02f3b7233a524bb5aae411410a3113a2
work_keys_str_mv	AT raffaelepezzella tibiofibularbonetranspositionforthetreatmentofoncologicalperiprostheticinfectionofthekneewithmassiveboneloss
_version_	1718431802292436992

TIBIO-FIBULAR BONE TRANSPOSITION FOR THE TREATMENT OF ONCOLOGICAL PERIPROSTHETIC INFECTION OF THE KNEE WITH MASSIVE BONE LOSS

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